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All Journal Jurnal Kesehatan Masyarakat Journal for Quality in Public Health

Eka Yunila Fatmasari

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Author-ID : 4077979

Health Professions Public Health

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ANALISIS PELAKSANAAN PENGAWASAN INTERNAL DI RSUD TUGUREJO PROVINSI JAWA TENGAH Syifa Nur Fadhilah; Septo Pawelas Arso; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 7, No 3 (2019): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

On providing health services Hospital chance to be prone of deviation in the presence of health services especially finance and assets management it can cause the hospital difficult achieving vision and goals. Therefore, to ensure implementation of health services, hospitals must conduct an internal performance audit by the Internal Control Unit (SPI) according Under Law No 44 of 2009. This study aims to analyze the implementation of internal supervision in RSUD Tugurejo, Central Java Province. This research used Qualitative Approach in the form of Descriptive Analysis with data collection using in-depth interview method and based on purposive sampling technique. The subjects of the study were all the SPI Tugurejo Regional Hospital of Central Java Province, while the triangulation informants were Deputy Director of Services, service staff, finance staff and general head of the Tugurejo Regional Hospital of Central Java Province. The variables studied by this research appear of human resource, funds, infrastructure/ facility and Regulation (SOP). The results of this study are mechanisms for appointment that have not been well related to the specific competence of internal supervision, have not been facilitated by training for all SPI team personnel related to technical internal supervision, there is no clear and written translation of assignments for each SPI team personnel, internal supervision SPI team personnel, the implementation of internal supervision is more focused on the financial section because the active SPI team is only 2 personnel and both have economic background and lack of employee understanding of the role, function and position of SPI.. This study recommends to the mechanism of appointment through analysis of workload according to the magnitude and complexity of hospital activities, increasing competence by facilitating internal and external training for all SPI team personnel, periodically disseminating information to all employees regarding the role, function and position of SPI for implementation the main tasks and functions of internal supervision can be carried out optimally at the Tugurejo Regional Hospital in Central Java Province.

ANALISIS PERENCANAAN QUALITY ASSURANCE DITINJAU DARI ASPEK INPUT PELAYANAN KEPERAWATAN RAWAT INAP PASCA AKREDITASI PARIPURNA RS SWASTA X KOTA SEMARANG Sarah Nurulita Fathanah Sukma; Sudiro Sudiro; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 4 (2017): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

The quality assurance is program to monitor and asses the quality of service to consistent the standards. Input is the resource required to perform nursing service. As a plenary accredited hospital, the number of nursing personnel at hospital still not accordance the standard requirements, the lack of budget funds to fulfill the needs of the service, the service is still less controllable, the equipments has not been fulfilled in the service and the method has not been implemented fully by the nurse. The purpose of this research was to analyze the quality assurance planning reviewed from input aspects of inpatient nursing services post plenary accreditation. The type of research is observational with qualitative method and descriptive approach. The main informant i.e. nursing managers, head of the nursing profession, head of the logistics nursing, the chairman team of the quality of nursing and informant triangulations are three people of nursing coordinators. The data analysis used in this analysis with the steps: data reductions, data display, verification and conclusion drawing. The quality assurance planning reviewed from input aspects of inpatient nursing services are already done, but still potentially cause irregularities because of weak monitoring and evaluation systems. A double title of nurse resulted in an increase in the workload of nurses. The nursing departement has not noticed cadre recruitment of nurses. The Directors have not seen the complaint related to the tools needs of nurses in the room. Control of materials nursing services needed to avoid waste. Policies, guidelines and Standard Operational Procedures that are not in the regular monitoring, potentially not implemented by nurses. The hospital should complement the shortage of medical equipment and nursing services infrastructure, fulfill the standards the number of nurses, noting cadre recruitment of nurses, collaboration with the pharmaceutical and procurement to reschedule monitoring activity in regularly for keeping the standards accreditation plenary hospital.

Analisis Peran Kepemimpinan Kepala Puskesmas dalam Pelaksanaan Layanan Komprehensif Berkesinambungan HIV-IMS di Kota Semarang Noor Fadhilah Dyah Anggraini; Sutopo Patria Jati; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 2 (2017): MARET
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Semarang City in 2015 get the first position in the prevalence of HIV case in Central Java. Eventhough all of theprimary health care in Semarang City already got the training in sustainable comprehensive cervices, the implementations still has a limitation because of the coordination problem. Chief of primary health care have a great roles in sustainable comprehensive services (SCS) implementation. This study aim to identify the roles of primary health care Chief in the SCS implementation with 6 pillars in Semarang City primary health care. Qualitative and descriptive approach used for this study. All of the data was collected with in-deth interview. Key informants were four primary health care Chief in Mijen and North Semarang region. Triangulation informants were six people who works as Sustainable Comprehensive Services Coordinator in primary health care and City Health Office in Semarang City. From this study we can conclude that interpersonal roles in primary health care Chief as the mediator were not optimal. primary health care Chief was not actively involved and not coordinating well with the HIV-IMS SCS organization. In the informational roles, primary health care Chief was not acting as resources and spokesperson himself. primary health care Chief was fulfilling their duties in decisional roles but there is still problem in mediation and problem solver in SCS team. This study suggests that primary health care Chief should make a good relation, communication, and cooperation with other parties which associated with HIV-IMS SCS, more active in attending related SCS activities and may provide a solution and act decisively when there are problems with the SCS team.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KINERJA PERAWAT RAWAT INAP DI RSUD KOTA SEMARANG Yohana Novitasari Sutrisno; Antono Suryoputro; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 1 (2017): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Nurses are the spearhead of hospitals in providing health service and should be managed professionally to improve the performance. The quality or satisfaction of nursing care was connected to nurses’ performance. Nursing care quality of the hospital was determined by patient satisfaction. Complaint data of inpatient patient at Regional Public Hospital of Semarang there were some complaints in nursing care. On the other side, the nurses were still complaining about the workload, leadership, promotion and supervision. The purpose of this study was to determine the related factors of nurses’ performance in inpatient unit at Regional Public Hospital of Semarang. The method of this research was using explanatory research with cross sectional approach. The population was all nurses in inpatient unit at Regional Public Hospital of Semarang with 71 peoples as sample. The analysis of the data was employed univariate and bivariate analysis with Rank Spearman Test. The result showed that variabels associated with the performance of nurses in inpatient unit at Regional Public Hospital of Semarang and has strong connection were workload (p value 0,001 and rs 0,554), leadership (p value 0,001 and rs 0,623), incentive (p value 0,001 and rs 0,680), and promotion opportunity has weak connection (p value 0,025 and rs 0,266). While the supervision is no associated with the performance of nurses in inpatient unit at Regional Public Hospital of Semarang (p value 0,794). Suggestion for the hospital are they have to rearrange the amount of the nurse, to evaluate incentive system, do some periodic coaching to all the nurses.

ANALISIS WAKTU TUNGGU PADA PELAYANAN UNIT LABORATORIUM RUMAH SAKIT IBU DAN ANAK SWASTA X KOTA JAKARTA Fidyanti Shabrina Junjungsari; Septo Pawelas Arso; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 7, No 1 (2019): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

The waiting time at laboratory services is still often a problem in some hospitals and has an impact on the quality of the hospital. Patients at Jakarta City X Private Owned Women and Children Hospital complained about the length of the waiting time in laboratory service, especially during peak hours. Achievements of the laboratory waiting time indicator still do not meet the standards set by the Jakarta City X Private Owned Women and Children Hospital. This purpose of this study is to describe and identify the factors that lead to long periods of waiting time in laboratory service. This research is a quantitative research and qualitative research. The data of this research were collected with an observation sheet of waiting time and with an in-depth interviews with 6 informants.The result of this research indicating that average waiting time of laboratory service is 64.11 minutes and the biggest delay is in the process of taking laboratory results. The waiting time for laboratory service that do not reach the waiting time standard is 56.7% on hospital quality indicators standard. The factors that lead this longer waiting period are the lacking numbers of employee, the layout and the space of the room that has not been optimal, and there are still standard operating procedure (SPO) that are not used as guidelines for work. The few suggestion for this case are increasing the number of employees, make effective supervision of the implementation of the SPO, and improve the layout of the laboratory room.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PEMANFAATAN POSBINDU PTM DI PUSKESMAS ROWOSARI KOTA SEMARANG Antono Suryoputro; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 7, No 3 (2019): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Posbindu PTM becomes a government strategy through promotion and prevention, as well as reducing the risk factors of PTM through empowering communities with a target age of 15 years and over. In 2017 Rowosari Health Center had the highest number of PTM cases in Semarang City with 5,469 cases but the visit coverage of Posbindu PTM is only 18% of the total registered participants. This study uses a cross sectional design and uses a questionnaire to a sample of 84 respondents. The results showed a low utilization, where 81% of respondents did not use Posbindu PTM. The results of the relationship test using chi square showed p value <0.05 between the variables of perceived susceptibility, perceived severity, perceived benefits, perceived barriers, self-efficacy, and cues (family, peers, cadres, and health workers support) with the utilization of Posbindu PTM. Whereas the respondent characteristic variables (age, gender, education, employment status, and knowledge) in this study were not related to the utilization of Posbindu PTM. So the conclusions is there are relationship between perceived susceptibility, perceived severity, perceived benefits, perceived barriers, self-efficacy, family supports, peers supports, cadres supports, and health workers support with the utilization of Posbindu PTM in in the work area of Rowosari Health Center. Suggestions in this study are through the role of cadres, peers and families inviting each other to come together to Posbindu PTM.

ANALISIS PERAN PEMERINTAH DESA DALAM PENYUSUNAN ANGGARAN DANA DESA UNTUK PENGEMBANGAN PROGRAM KESEHATAN DI POSYANDU KECAMATAN SRENGAT KABUPATEN BLITAR Linda Ismawati; Ayun Sriatmi; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 1 (2017): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Since 2015 source of village income increased, it was because getting allocations from the central government called (the village fund). However, the budgetary funds provided for Posyandu as one of the basic services in the village center was still low, while there are many health problems that occur. This is possible because of the lack of concern for the government in improving the utilization of the village fund for Posyandu. This study aims to determined the government’s role in the preparation of the budget for the development of health programs in the Posyandu. This study used a qualitative method by which data were obtained from 4 (four)- depth interviews with the village chief. The results showed that interpersonal’s role in participation and evaluation budgetary had not been good. This is indicated by the exclusion of Posyandu cadres in the preparation of the budget in one of the villages and the lack of coordination in evaluating the budget in several villages. The village chief related to informational’s role in the preparation of the budget was also not optimal, it was indicated by the complaints of cadres in Posyandu who felt the village chief did not find out about the clarity of targets, difficulty of targets, and evaluation of the existing budget in Posyandu. In a decisional’s role was also not going optimally, as indicated by the complains of the secretary of the village who said in decision-making related to difficulty of targets and evaluation of budgets submitted to him. Where the village chief should also be required to had decision making skills in solving problems that exist within the organization he leads. This is expected village chief can improve coordination and good communication both with the village secretary and cadres in order to avoid misunderstandings and differences of perception related to the budget given to Posyandu.

GAMBARAN SISTEM ANTRIAN PASIEN DALAM OPTIMASI PELAYANAN DI LOKET PENDAFTARAN INSTALASI RAWAT JALAN RUMAH SAKIT UMUM PUSAT FATMAWATI Ade Selvia Septiani; Putri Asmita Wigati; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 4 (2017): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Queue is a situation where there are customers who have to wait to get service. This queuing process also occurs in the outpatient registration service of RSUP Fatmawati. The number of patient visits in the outpatient installation within a year in 2016 is 329.622 patients. The queue will occur if the existing facilities have not been able to keep up the patient’s arrival rate. The purpose in this study is to describe the system of patient queues for service optimization at registration counter in outpatient installation of RSUP Fatmawati. The method used in this study is quantitative method with descriptive survey and cross sectional approach. Data collecting was done by doing a calculation of arrival rate and service rate at the registration counter of 4 polyclinics, with accidental sampling method. The results showed that the outpatient service flow in RSUP Fatmawati started with taking the queue number and waiting for a call at registration counter. The sample in June showed that the highest arrival rate was the counter of other polyclinic as many as 90 patients/hour; and the highest service rate was the counter of obstetric polyclinic as many as 32 patients/hour. The sample in July showed that the highest arrival rate was the counter of other polyclinic as many as 94 patients/hour; and the highest service rate was surgical polyclinic counters as many as 39 patients/hour. Based on the result in this study, only the surgical polyclinic counters have reached the optimal point of the system where patient waiting times are shorter and the server’s idle time is less than the others. The additional number of counters is recommended for obstetric polyclinic counter and pulmonary polyclinic counter to reduce patient waiting time. Reoperation of 2 other counters at the counters of other polyclinic is also recommended to reduce the high workload of the existing servers.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPUASAN KERJA PERAWAT RAWAT INAP RUMAH SAKIT UMUM DAERAH TUGUREJO SEMARANG Nurfrida Pratomo Putri; Ayun Sriatmi; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 4 (2018): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Job satisfaction is a reflection of the workers’ feeling in their work. It can be shown from employee's attitude to the work and their working environment. The nurse's job satisfaction needs to get serious attention from hospital management because nurse holds the most important service role in the hospital. The objective of the research was to determine the related factors with nurse job satisfaction in inpatient Tugurejo Hospital Semarang. The research used quantitative method with cross sectional approach. The sample used in the research was 80 inpatient nurses of Tugurejo Hospital Semarang with proportional random sampling method. The research used univariate analysis, bivariate analysis by Rank Spearman test. The result showed that the respondents had good recognition (67,5%), responsibility (55%), potential development (60%), promotion opportunities (51,3%), income (66,3%), working conditions (60%), hospital administration and policy (82,5%), interaction between individuals (90%), supervision (66,3%). Variables related to inpatient nurses’ job satisfication of Tugurejo Hospital Semarang were recognition (p = 0,000), potential development (p = 0,000), promotion opportunities (p = 0,000), income (p = 0,000), working conditions = 0.000), hospital administration and policy, interaction between individuals (p = 0,000) and supervision (p = 0,000). Meanwhile, unrelated variable to inpatient nurses’ job satisfication of Tugurejo Hospital Semarang was responsibility (p = 0,365). In order to manage nurse job satisfaction, the hospital management should be able to create a pleasant working environment, provide positive feedback, and able to improve the career path system.

ANALISIS PELAKSANAAN PENANGANAN KELUHAN PELANGGAN DAN PELAYANAN INFORMASI DI BPJS KESEHATAN KANTOR CABANG SEMARANG Diah Eka Novitasari; Septo Pawelas Arso; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 5 (2018): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

BPJS Kesehatan has a target in 2019 that is to cover all indonesians, there are some problems with increasing health services, one of them is an increase in complaints in BPJS Kesehatan branch office Semarang. The objective of this study is to analyze the implementation of customer complaints handling and information services in BPJS Kesehatan branch office Semarang. The type of research is qualitative research with descriptive approach through observational method and a survey was conducted for participants as an output amplifier for the implementation of customer complaint handling. Key informants included front liner staff, participant complaint handling staff, front liner supervisors and triangulation informants including Head of KPP, Head of USDMKP, 5 Participants, and research respondents totaling 85 participants. The results showed on certain days participant complaint handling staff serving the participants exceed the workload (1:30), training from the center only followed by jobholders, counters 11 and 12 are still in the grievance room while laying service counters had to be parallel to other counters, promoting mobile JKN still not optimal, participant complaint handling staff sometimes forget to ask participants to fill out of CSTI (Customer Satisfaction Index). Output of the implementation of customer complaints handling in BPJS Kesehatan branch office Semarang has been objective, responsive, coordinative, effective and efficient, accountable and transparent in accordance with the results of a survey conducted to participants. The suggestion is adding participant complaint handling staff in the office for certain days, optimization of Mobile JKN Ambassador, making warning alarm set during customer complaints handling services and posting information at the door of the complaint room regarding the obligation to bring supporting evidence to participants.

Co-Authors Ade Selvia Septiani Adelia Anggraini Ajeng Retno Yunita Alessandra Lourdess Sutrisnoputri Amalia Choirun Nafi'ah Anggia Nuaristia Dewi Antono Suryoputro Asri Pratiwi Astri Budhi Satiti Aufir Amalia Ayun Sriatmi Criswardani Suryawati Dara Lutfiana Desi Purwiyanti Diah Eka Novitasari Dianita Pertiwi Elsa Febrie Alvianitasari Eri Virdasari Fidyanti Shabrina Junjungsari Fila Mulia Citra Permata Abadi Hanifah Iskhia Dilla Helena Napitupulu Hendra Teguh Setiawan Ismal Wahyu Jessica Masta Hothasian Lilis Setiyaningrum Linda Ismawati Listia Ayuni Nur Afifah Loveloi Putri Sihanari Lutfy Laksita Pranandari Manja Mania Melodi Damai Soleiman Nimas Ariyani Damayanti Noor Fadhilah Dyah Anggraini Nurfrida Pratomo Putri Nurlita Putri Apriliani Nurul Ayu Ningsih Nurul Balqis Shofiana Putri Asmita Wigati Risa Tri Anggraeni Rizka Nur Fitriana Sarah Nurulita Fathanah Sukma Septo Pawelas Arso Sri Gama Apriani Sudiro Sudiro Sutopo Patria Jati Syifa Nur Fadhilah Winda Asriyani Wulan Kusumastuti Yohana Novitasari Sutrisno

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